We have office appointments every 4 weeks, then every 2, we have a home visit at 36 weeks, then we have office visits every week until your baby is born. Prenatal visits are often 45 minutes to an hour long, so that you have time to ask questions and be heard. We will check your urine, blood pressure, pulse, measure your growing belly, and listen to the baby at every visit. You are welcome to bring your family or come alone.
We offer standard and specialty blood and urine tests with 3 different labs. You can choose to have a sonogram in one of 8 locations. Labs and sonograms can be billed directly to insurance by those offices and are not included in the Midwife fee. You can decline tests and sonograms in most cases; exceptions exist for special situations like bleeding or twins.
If your water breaks, you have bleeding, or have concerns, I come to your home to check on you and your baby. If you are not in active labor, I will return when you are. Once you are in active labor, I provide continuous support throughout your birth. I have birth tubs you may use with a new, sterile liner. During labor, we check blood pressure and pulse, and listen to the baby periodically. I only perform vaginal exams when requested or deemed necessary, which is rare. I bring supplies for emergencies to your birth.
After your baby is born, your birth team will ensure you and your baby eat, perform a newborn exam, help you clean up your body, ensure you can empty your bladder, suturing is available for some tearing, and we make sure everyone has stable vital signs. We also clean up birth related messes before we leave!
I return after your baby is born, between 24-48 hours. At the first postpartum visit, we make sure you are recovering from birth and that your baby is doing well. I offer Newborn Metabolic Screening (also called PKU or blood spot tests), Newborn Hearing Screening, and the Critical Cardiac Heart Defect Screening. We work on the birth certificate and other paperwork. Around day 3, I return to weigh the baby and ensure everyone is recovering well. I see people in the home again at week 1, and often in the office at weeks 2, 4, and 6. This high level of care supports your transition into parenthood with lower rates of complications!
The total fee is $4,000 and is due in full by your due date. Families usually make payments on whatever schedule fits into your budget. We do not accept insurance or offer refunds. In the event of a transfer, I stay with you and become your labor support person in the hospital while other midwives or doctors take over your care. You are welcome to resume postpartum care with me after your release from the hospital.
Special Care Situations
Trauma informed care for survivors
Sensitive care for our trans community members
Supportive care for those suffering from the stress and harm of racism
Active duty parent(s) and unit communications